Active NPI
Nahoma Omwanghe, NURSE PRACTITIONER
- Family Nurse Practitioner
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209017675
- Practice address
- 1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624 - Phone
- (630) 829-1084
- Fax
- (630) 829-1040
- NPI assigned
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 209017675 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209017675 | IL | Primary |
Addresses
Primary practice location
1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
18361 Glen Oak Ave Unit 18361
Lansing, IL 60438-2762
Phone (773) 904-6892
Other practice location 2
4055 Valley View Ln Ste 400
Dallas, TX 75244-5071
Phone (972) 715-3800
Other names 1
- N/a N/a
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nomwanghe335170@direct.myadvocateaurora.org | ||
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E Via Ghiglieri
Toluca, IL 61369-9596
Phone (877) 883-9430
10714 S Roberts Rd
Palos Hills, IL 60465-2314
Phone (708) 631-1326
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209017675 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Immediate Home Care Providers P C | Current | Accepting new patients | |
| Immediate Home Care Physicians LLC | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
10714 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 631-1326
101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808
150 Beechmont Dr NE
Corydon, IN 47112
Phone (812) 738-0550
2640 Cold Spring Rd
#A
Indianapolis, IN 46222
Phone (315) 909-1540
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Palos Hills, IL
- NPI 1124824560
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IL
-
- Family Medicine Physician
- Oakbrook Terrace, IL
- NPI 1174925663
-
- Family Medicine Physician
- Griffith, IN
- NPI 1568965804
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
-
- Family Medicine Physician
- Palos Hills, IL
- NPI 1134521917
-
- Family Medicine Physician
- Burr Ridge, IL
- NPI 1912521071
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1437634748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 BRANDING AVE STE 310",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605155624",
"telephone_number": "630-829-1084",
"fax_number": "630-829-1040"
}
],
"practiceLocations": [
{
"address_1": "18361 Glen Oak Ave Unit 18361",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "IL",
"postal_code": "604382762",
"country_code": "US",
"telephone_number": "773-904-6892",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4055 Valley View Ln Ste 400",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752445071",
"country_code": "US",
"telephone_number": "972-715-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OMWANGHE",
"first_name": "NAHOMA",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "IL",
"license": "209017675",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209017675",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nomwanghe335170@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "1441 Branding Ave Ste 310",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605155624",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1441 Branding Ave Ste 310",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605155624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.